Sagittal Balance Correction in Cervical Compressive Myelopathy: Is it Helpful?

Background: Laminectomy with lateral mass and transfacet fixation are widely accepted surgical techniques for cervical compressive myelopathy (CCM). Objective: To evaluate multilevel fixation with additional fixation of C7-T1 transfacet junction may help achieve better surgical outcome both in short...

Full description

Saved in:
Bibliographic Details
Published in:Neurology India 2021-09, Vol.69 (5), p.1222-1227
Main Authors: Panigrahi, Manas, Patel, Chirag, Chandrasekhar M, Y B, Vooturi, Sudhindra
Format: Article
Language:English
Subjects:
Care and treatment
Laminectomy
Methods
Nervous system
Patient outcomes
Spinal cord compression
Surgery
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites cdi_FETCH-LOGICAL-c445l-90115658f07f11777d9b7c489889f592b83df156a3afa1287c4bc309b15923803
container_end_page 1227
container_issue 5
container_start_page 1222
container_title Neurology India
container_volume 69
creator Panigrahi, Manas
Patel, Chirag
Chandrasekhar M, Y B
Vooturi, Sudhindra
description Background: Laminectomy with lateral mass and transfacet fixation are widely accepted surgical techniques for cervical compressive myelopathy (CCM). Objective: To evaluate multilevel fixation with additional fixation of C7-T1 transfacet junction may help achieve better surgical outcome both in short- and long-term follow-up. Material and Methods: Based on utilizing C7-T1 transfacet junction fixation, 102 consecutive patients undergoing surgery for CCM were divided into Group A: cervical laminectomy with lateral mass fixation only, and Group B: cervical laminectomy and lateral mass fixation including C7-T1 transfacet junction in fixation. The groups were compared for at 3 months and 2 years postsurgery for persistence of preoperative symptoms, neurological outcome, and sagittal balance (T1 slope) of cervical spine. Results: The average age of the study population was 59.11 ± 12.05 years with 71 (69.6%) men. There were no significant differences between the groups neither for presenting complaints nor for postoperative complications. Patients in group B had lesser length of postsurgical hospital stay (7.57 ± 6.61 vs 5.55 ± 1.81; P = 0.018). At 3 months follow-up, patients in group B had higher motor power of upper limb (3.64 ± 1.91 vs 4.47 ± 0.57; P < 0.001), lower limbs (5.07 ± 1.72 vs 5.92 ± 1.13; P = 0.005), and total modified Japanese orthopedic association score (MJOS) score (13.68 ± 3.42 vs 15.51 ± 1.87; P = 0.001). Patients in groups B had lower postoperative T1 slope scores (26.93 ± 8.73 vs 17.60 ± 4.97; P =
doi_str_mv 10.4103/0028-3886.329595
format article
fullrecord <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_journals_2592890971</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A681153530</galeid><sourcerecordid>A681153530</sourcerecordid><originalsourceid>FETCH-LOGICAL-c445l-90115658f07f11777d9b7c489889f592b83df156a3afa1287c4bc309b15923803</originalsourceid><addsrcrecordid>eNptkUlPAyEYhonRxLrcPU7ieSrLTAe8GJ24JS4H9Uwo_agoM4wwbdN_L01dk4YDgfd5PkhehI4IHhYEsxOMKc8Z56Mho6IU5RYaECF4XmBKt9HgJ95FezG-pSNjhA7Qw5Oa2r5XLrtQTrUastqHALq3vs1sm9UQ5lanuPZNFyBGO4fsfgnOd6p_XZ5mtzGzfXYDrjMzd3aAdoxyEQ6_9n30cnX5XN_kd4_Xt_X5Xa6LonS5wISUo5IbXBlCqqqaiHGlCy44F6YUdMzZxCRCMWUUoTxlY82wGJMUMo7ZPjpez-2C_5hB7OWbn4U2PSlpQrjAoiK_1FQ5kLY1vg9KNzZqeT7i6QusZKtZ-QZqCi0E5XwLxqbrf_xwA5_WBBqrNwp4LejgYwxgZBdso8JSEixX5clVO3LVjlyXl5R6rSy86yHEdzdbQJANTN5bv_jn5X88SSil8rtS9gm6GJ18</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2592890971</pqid></control><display><type>article</type><title>Sagittal Balance Correction in Cervical Compressive Myelopathy: Is it Helpful?</title><source>Publicly Available Content Database (Proquest) (PQ_SDU_P3)</source><creator>Panigrahi, Manas ; Patel, Chirag ; Chandrasekhar M, Y B ; Vooturi, Sudhindra</creator><creatorcontrib>Panigrahi, Manas ; Patel, Chirag ; Chandrasekhar M, Y B ; Vooturi, Sudhindra</creatorcontrib><description>Background: Laminectomy with lateral mass and transfacet fixation are widely accepted surgical techniques for cervical compressive myelopathy (CCM). Objective: To evaluate multilevel fixation with additional fixation of C7-T1 transfacet junction may help achieve better surgical outcome both in short- and long-term follow-up. Material and Methods: Based on utilizing C7-T1 transfacet junction fixation, 102 consecutive patients undergoing surgery for CCM were divided into Group A: cervical laminectomy with lateral mass fixation only, and Group B: cervical laminectomy and lateral mass fixation including C7-T1 transfacet junction in fixation. The groups were compared for at 3 months and 2 years postsurgery for persistence of preoperative symptoms, neurological outcome, and sagittal balance (T1 slope) of cervical spine. Results: The average age of the study population was 59.11 ± 12.05 years with 71 (69.6%) men. There were no significant differences between the groups neither for presenting complaints nor for postoperative complications. Patients in group B had lesser length of postsurgical hospital stay (7.57 ± 6.61 vs 5.55 ± 1.81; P = 0.018). At 3 months follow-up, patients in group B had higher motor power of upper limb (3.64 ± 1.91 vs 4.47 ± 0.57; P &lt; 0.001), lower limbs (5.07 ± 1.72 vs 5.92 ± 1.13; P = 0.005), and total modified Japanese orthopedic association score (MJOS) score (13.68 ± 3.42 vs 15.51 ± 1.87; P = 0.001). Patients in groups B had lower postoperative T1 slope scores (26.93 ± 8.73 vs 17.60 ± 4.97; P = &lt;0.001). At 2 years follow-up of 53 patients, patients in group B had a better upper limb motor function (3.77 ± 1.14 vs 4.44 ± 0.50; P = 0.021) and total MJOS score (13.85 ± 3.49 vs. 15.37 ± 1.86; P &lt; 0.052). Conclusion: Normalizing sagittal balance in patients with CCM by cervical laminectomy and posterior fixation including cervical thoracic junction (C7-T1 transfacet junctional fixation) may significantly improve neurological outcome both in short-term and long-term follow-up.</description><identifier>ISSN: 0028-3886</identifier><identifier>EISSN: 1998-4022</identifier><identifier>DOI: 10.4103/0028-3886.329595</identifier><language>eng</language><publisher>Mumbai: Wolters Kluwer India Pvt. Ltd</publisher><subject>Care and treatment ; Laminectomy ; Methods ; Nervous system ; Patient outcomes ; Spinal cord compression ; Surgery</subject><ispartof>Neurology India, 2021-09, Vol.69 (5), p.1222-1227</ispartof><rights>COPYRIGHT 2021 Medknow Publications and Media Pvt. Ltd.</rights><rights>2021. This article is published under (http://creativecommons.org/licenses/by-nc-sa/3.0/) (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c445l-90115658f07f11777d9b7c489889f592b83df156a3afa1287c4bc309b15923803</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2592890971?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,25753,27924,27925,37012,44590</link.rule.ids></links><search><creatorcontrib>Panigrahi, Manas</creatorcontrib><creatorcontrib>Patel, Chirag</creatorcontrib><creatorcontrib>Chandrasekhar M, Y B</creatorcontrib><creatorcontrib>Vooturi, Sudhindra</creatorcontrib><title>Sagittal Balance Correction in Cervical Compressive Myelopathy: Is it Helpful?</title><title>Neurology India</title><description>Background: Laminectomy with lateral mass and transfacet fixation are widely accepted surgical techniques for cervical compressive myelopathy (CCM). Objective: To evaluate multilevel fixation with additional fixation of C7-T1 transfacet junction may help achieve better surgical outcome both in short- and long-term follow-up. Material and Methods: Based on utilizing C7-T1 transfacet junction fixation, 102 consecutive patients undergoing surgery for CCM were divided into Group A: cervical laminectomy with lateral mass fixation only, and Group B: cervical laminectomy and lateral mass fixation including C7-T1 transfacet junction in fixation. The groups were compared for at 3 months and 2 years postsurgery for persistence of preoperative symptoms, neurological outcome, and sagittal balance (T1 slope) of cervical spine. Results: The average age of the study population was 59.11 ± 12.05 years with 71 (69.6%) men. There were no significant differences between the groups neither for presenting complaints nor for postoperative complications. Patients in group B had lesser length of postsurgical hospital stay (7.57 ± 6.61 vs 5.55 ± 1.81; P = 0.018). At 3 months follow-up, patients in group B had higher motor power of upper limb (3.64 ± 1.91 vs 4.47 ± 0.57; P &lt; 0.001), lower limbs (5.07 ± 1.72 vs 5.92 ± 1.13; P = 0.005), and total modified Japanese orthopedic association score (MJOS) score (13.68 ± 3.42 vs 15.51 ± 1.87; P = 0.001). Patients in groups B had lower postoperative T1 slope scores (26.93 ± 8.73 vs 17.60 ± 4.97; P = &lt;0.001). At 2 years follow-up of 53 patients, patients in group B had a better upper limb motor function (3.77 ± 1.14 vs 4.44 ± 0.50; P = 0.021) and total MJOS score (13.85 ± 3.49 vs. 15.37 ± 1.86; P &lt; 0.052). Conclusion: Normalizing sagittal balance in patients with CCM by cervical laminectomy and posterior fixation including cervical thoracic junction (C7-T1 transfacet junctional fixation) may significantly improve neurological outcome both in short-term and long-term follow-up.</description><subject>Care and treatment</subject><subject>Laminectomy</subject><subject>Methods</subject><subject>Nervous system</subject><subject>Patient outcomes</subject><subject>Spinal cord compression</subject><subject>Surgery</subject><issn>0028-3886</issn><issn>1998-4022</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><recordid>eNptkUlPAyEYhonRxLrcPU7ieSrLTAe8GJ24JS4H9Uwo_agoM4wwbdN_L01dk4YDgfd5PkhehI4IHhYEsxOMKc8Z56Mho6IU5RYaECF4XmBKt9HgJ95FezG-pSNjhA7Qw5Oa2r5XLrtQTrUastqHALq3vs1sm9UQ5lanuPZNFyBGO4fsfgnOd6p_XZ5mtzGzfXYDrjMzd3aAdoxyEQ6_9n30cnX5XN_kd4_Xt_X5Xa6LonS5wISUo5IbXBlCqqqaiHGlCy44F6YUdMzZxCRCMWUUoTxlY82wGJMUMo7ZPjpez-2C_5hB7OWbn4U2PSlpQrjAoiK_1FQ5kLY1vg9KNzZqeT7i6QusZKtZ-QZqCi0E5XwLxqbrf_xwA5_WBBqrNwp4LejgYwxgZBdso8JSEixX5clVO3LVjlyXl5R6rSy86yHEdzdbQJANTN5bv_jn5X88SSil8rtS9gm6GJ18</recordid><startdate>20210901</startdate><enddate>20210901</enddate><creator>Panigrahi, Manas</creator><creator>Patel, Chirag</creator><creator>Chandrasekhar M, Y B</creator><creator>Vooturi, Sudhindra</creator><general>Wolters Kluwer India Pvt. Ltd</general><general>Medknow Publications and Media Pvt. Ltd</general><general>Medknow Publications &amp; Media Pvt. Ltd</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope></search><sort><creationdate>20210901</creationdate><title>Sagittal Balance Correction in Cervical Compressive Myelopathy: Is it Helpful?</title><author>Panigrahi, Manas ; Patel, Chirag ; Chandrasekhar M, Y B ; Vooturi, Sudhindra</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c445l-90115658f07f11777d9b7c489889f592b83df156a3afa1287c4bc309b15923803</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Care and treatment</topic><topic>Laminectomy</topic><topic>Methods</topic><topic>Nervous system</topic><topic>Patient outcomes</topic><topic>Spinal cord compression</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Panigrahi, Manas</creatorcontrib><creatorcontrib>Patel, Chirag</creatorcontrib><creatorcontrib>Chandrasekhar M, Y B</creatorcontrib><creatorcontrib>Vooturi, Sudhindra</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest Research Library</collection><collection>Research Library (Corporate)</collection><collection>Publicly Available Content Database (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><jtitle>Neurology India</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Panigrahi, Manas</au><au>Patel, Chirag</au><au>Chandrasekhar M, Y B</au><au>Vooturi, Sudhindra</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sagittal Balance Correction in Cervical Compressive Myelopathy: Is it Helpful?</atitle><jtitle>Neurology India</jtitle><date>2021-09-01</date><risdate>2021</risdate><volume>69</volume><issue>5</issue><spage>1222</spage><epage>1227</epage><pages>1222-1227</pages><issn>0028-3886</issn><eissn>1998-4022</eissn><abstract>Background: Laminectomy with lateral mass and transfacet fixation are widely accepted surgical techniques for cervical compressive myelopathy (CCM). Objective: To evaluate multilevel fixation with additional fixation of C7-T1 transfacet junction may help achieve better surgical outcome both in short- and long-term follow-up. Material and Methods: Based on utilizing C7-T1 transfacet junction fixation, 102 consecutive patients undergoing surgery for CCM were divided into Group A: cervical laminectomy with lateral mass fixation only, and Group B: cervical laminectomy and lateral mass fixation including C7-T1 transfacet junction in fixation. The groups were compared for at 3 months and 2 years postsurgery for persistence of preoperative symptoms, neurological outcome, and sagittal balance (T1 slope) of cervical spine. Results: The average age of the study population was 59.11 ± 12.05 years with 71 (69.6%) men. There were no significant differences between the groups neither for presenting complaints nor for postoperative complications. Patients in group B had lesser length of postsurgical hospital stay (7.57 ± 6.61 vs 5.55 ± 1.81; P = 0.018). At 3 months follow-up, patients in group B had higher motor power of upper limb (3.64 ± 1.91 vs 4.47 ± 0.57; P &lt; 0.001), lower limbs (5.07 ± 1.72 vs 5.92 ± 1.13; P = 0.005), and total modified Japanese orthopedic association score (MJOS) score (13.68 ± 3.42 vs 15.51 ± 1.87; P = 0.001). Patients in groups B had lower postoperative T1 slope scores (26.93 ± 8.73 vs 17.60 ± 4.97; P = &lt;0.001). At 2 years follow-up of 53 patients, patients in group B had a better upper limb motor function (3.77 ± 1.14 vs 4.44 ± 0.50; P = 0.021) and total MJOS score (13.85 ± 3.49 vs. 15.37 ± 1.86; P &lt; 0.052). Conclusion: Normalizing sagittal balance in patients with CCM by cervical laminectomy and posterior fixation including cervical thoracic junction (C7-T1 transfacet junctional fixation) may significantly improve neurological outcome both in short-term and long-term follow-up.</abstract><cop>Mumbai</cop><pub>Wolters Kluwer India Pvt. Ltd</pub><doi>10.4103/0028-3886.329595</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0028-3886
ispartof Neurology India, 2021-09, Vol.69 (5), p.1222-1227
issn 0028-3886
1998-4022
language eng
recordid cdi_proquest_journals_2592890971
source Publicly Available Content Database (Proquest) (PQ_SDU_P3)
subjects Care and treatment
Laminectomy
Methods
Nervous system
Patient outcomes
Spinal cord compression
Surgery
title Sagittal Balance Correction in Cervical Compressive Myelopathy: Is it Helpful?
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-26T14%3A12%3A25IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Sagittal%20Balance%20Correction%20in%20Cervical%20Compressive%20Myelopathy:%20Is%20it%20Helpful?&rft.jtitle=Neurology%20India&rft.au=Panigrahi,%20Manas&rft.date=2021-09-01&rft.volume=69&rft.issue=5&rft.spage=1222&rft.epage=1227&rft.pages=1222-1227&rft.issn=0028-3886&rft.eissn=1998-4022&rft_id=info:doi/10.4103/0028-3886.329595&rft_dat=%3Cgale_proqu%3EA681153530%3C/gale_proqu%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c445l-90115658f07f11777d9b7c489889f592b83df156a3afa1287c4bc309b15923803%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2592890971&rft_id=info:pmid/&rft_galeid=A681153530&rfr_iscdi=true